Avoid taking any other medicines within 1 hour before or 3 hours after you take sevelamer.

Do not start or continue sevelamer and consult your doctor:

if you have allergy to sevelamer.

if you have problems with bowel motility such as feeling of fullness, urge to vomit (nausea), vomiting, constipation, prolonged loose motions (diarrhea) or pain in the abdomen (symptoms of active inflammatory bowel disease).

if you have undergone major surgery on your stomach or bowel.

Do not take calcium or other mineral supplements without your doctor's advice.

Pebind 400mg Tablet may be unsafe to use during pregnancy.Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

Lactation

Pebind 400mg Tablet is probably safe to use during lactation.
Limited human data suggests that the drug does not represent a significant risk to the baby.

Driving

It is not known whether Pebind 400mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

Kidney

SAFE

Pebind 400mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Pebind 400mg Tablet is recommended.However, regular monitoring of calcium levels is advisable in these patients.

Liver

Pebind 400mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Pebind 400mg Tablet may not be needed in these patients. Please consult your doctor.